Grey Matter, Issue 48, August 2017

Grey Matter, Issue 48, August 2017

A Collection of Recent NGO, Think Tank, and International Government Reports

Issue 48, 2017, August

Welcome to Grey Matter, the Ministry of Health Library’s Grey Literature Bulletin. In each issue, we provide access to a selection of the most recent NGO, Think Tank, and International Government reportsthat are relevant to the health context. The goal of this newsletter is to facilitate access to material that may be more difficult to locate (in contrast to journal articles and the news media). Information is arranged by topic, allowing readers to quickly hone in on their key areas of interest. Email to subscribe.

Click on any of the bulleted points below to go to a section of interest.


Family Violence

Health Information & Research

Integrated Care


Public Health



Substance Use & Addiction


Mental Health & Wellbeing

Quality & Safety

Health Systems, Costs, & Reform

Health of Older People

Primary Care

Nutrition, Physical Activity, & Obesity

Disability & Social Care


Family Violence

Domestic and family violence and parenting: mixed method insights into impact and support needs - final report

“The Domestic and Family Violence and Parenting program is an extensive mixed method project that examines the impact of inter-parental conflict (IPC) and domestic and family violence (DFV) on parenting and parent–child relationships. It makes a unique contribution by bringing together evidence on a diversity of Australian populations, life-course stages, and experiences of IPC and DFV. The research captures the experiences and impacts on fathers, mothers, and children at varying ages and stages of development and independence.” Source: Australia’s National Research Organisation for Women’s Safety

The Child, Youth and Family Review : a commentary on prevention

“This report by social work academic Dr. Emily Keddell focuses on one aspect of the recent reforms: the prevention of child abuse and neglect. Keddell highlights the points of tension between the way that child abuse is defined throughout the review process, the details of the proposed reforms, and the design of child protection systems.” Source: Auckland University of Technology

Fathers who use violence : options for safe practice where there is ongoing contact with children

“This paper responds to a challenge that has continued to frustrate workers attempting to intervene to support women and children living with DFV. The challenge that arises when women and children may not be in a position to separate from their abusive and violent partners, and when women and children's wellbeing and safety may not be enhanced by separation. In particular, this paper is focused on fathers who use violence and whether there are strategies that engage and address the issues for children, women and men who are continuing to live with DFV.” Source: Australian Institute of Family Studies

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Health Information & Research

Evaluating Complex HealthInterventions: A Guide to Rigorous Research Designs

“This guide provides a range of approaches that could be used to enhance the rigor of evaluations thus improving the quality of the evidence upon which decisions are made and ultimately improving the public’s health.” Source: Academy Health

Preparing for Future Products of Biotechnology

“Preparing for Future Products of Biotechnology analyzes the future landscape of biotechnology products and seeks to inform forthcoming policy making. This report identifies potential new risks and frameworks for risk assessment and areas in which the risks or lack of risks relating to the products of biotechnology are well understood.” Source: National Academies Press

Integrating Clinical Research into Epidemic Response: The Ebola Experience

“Integrating Clinical Research into Epidemic Response: The Ebola Experience assesses the value of the clinical trials held during the 2014–2015 epidemic and makes recommendations about how the conduct of trials could be improved in the context of a future international emerging or re-emerging infectious disease events.” Source: National Academies Press

Real-World Evidence Generation and Evaluation of Therapeutics: Proceedings of a Workshop

“In October 2016, the National Academies of Sciences, Engineering, and Medicine held a workshop to facilitate dialogue among stakeholders about the opportunities and challenges for incorporating real-world evidence into all stages in the process for the generation and evaluation of therapeutics. Participants explored unmet stakeholder needs and opportunities to generate new kinds of evidence that meet those needs. This publication summarizes the presentations and discussions from the workshop.” Source: National Academies Press

Partitioned survival analysis for decision modelling in health care: A critical review

“Cost-effectiveness analyses informing NICE appraisals use a wide range of modelling approaches. Most of these have been subject to detailed discussion within the economic evaluation literature. This has not been the case for one approach, partitioned survival analysis, which is now used in a significant proportion of appraisals. The objective of this Technical Support Document (TSD) is to describe and critique this approach as a decision modelling tool in order to assist different stakeholders in determining its appropriateness as a modelling approach and basis for informing policy decisions.” Source: NICE Decision Support Unit

Data Governance Australia (DGA) draft code of practice

“Data Governance Australia is developing a Code of Practice as part of an on-going effort to set leading industry standards, promote a culture of best practice, and to drive innovation by increasing consumer confidence and trust in the data practices of organisations.” Source: Data Governance Australia

Advancing the Science to Improve Population Health: Proceedings of a Workshop

“The National Academies of Sciences, Engineering, and Medicine hosted a workshop to explore the basic and translational research needs for population health science, and to discuss specific research priorities and actions to foster population health improvement. The workshop was designed to provide frameworks for understanding population health research and its role in shaping and having an effect on population health, identify individual and institutional facilitators and challenges regarding the production, communication, and use of research for population health improvement, and identify key areas for future research critical to the advancement of population health improvement. This publication summarizes the presentations and discussions from the workshop.” Source: National Academies Press

Your Data: Better Security, Better Choice, Better Care

“Better use of information and data has the potential to transform health and care for everyone. However, organisations’ resilience to cyber threats and the unimpeded, safe and secure flow of appropriate information and data across the health and social care system are critical to improving outcomes for all.” Source: Department of Health

Mapping out the obstacles of free movement of electronic health records in the EU in the light of single digital market

“This report is a summary of a study conducted in Estonian that analyses various obstacles of free movement of data across the EU and in the Member States to suggest recommendations to overcome the obstacles. Five Member States are chosen to have a better understanding of the diversity of eHealth systems being used in the EU. The chosen Member States were Finland, Germany, Poland, Sweden and the United Kingdom (England) (with Estonian eHealth system being used as a point of comparison).” Source: KPMG Baltics

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Integrated Care

Health and social care celebrating wellbeing: a selection of case studies

“This publication provides examples of positive joint working between health and social care and the third sector. The examples show how integrated working has improved the well-being of individuals since the introduction of the Social Services and Well-Being (Wales) Act 2014. The anonymised case studies cover different service areas and client groups from across Wales.” Source: ADSS Cymru, Welsh NHS Confederation

Rebooting health and social care integration: an agenda for more person centred care

“This report finds that the health and social care integration agenda has a future but it is dependent on moving away from notions of structural integration and reliance on central policy direction. It concludes that the issue of funding and financial sustainability is critical but can only be influenced locally. The authors also believe that health and social care integration can create new value locally, but it must build on its most important point of consensus; greater person centred care.” Source: Localis (UK)

Progress Along the Pathway for Transforming Regional Health: A Pulse Check on Multi-Sector Partnerships

“Multi-sector partnerships play an increasingly significant role in the movement to improve health, equity, and economic prosperity. These partnerships recognize that many of our most pressing challenges defy sector boundaries, and cannot be effectively addressed by any one institution alone. Progress Along the Pathway to Health System Transformation: A Pulse Check on Multi-Sector Partnerships is the only survey of its kind to ask leaders across the U.S. what their partnerships do, how they finance their work, and how their groups have been developing over time.” Source: ReThink Health

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Pasifika People in New Zealand: How are we doing?

“This report provides a current statistical overview of Pacific peoples in New Zealand. It provides demographic and background data on the current state of Pacific participation in the areas of education, health, employment, income, housing, leadership, culture and community participation.” Source: Pasifika Futures Limited

Disruptive Innovation in Medicaid Non-Emergency Transportation

“The availability of reliable transportation is critical to health outcomes, particularly for low-income Americans with chronic health conditions. When lack of transportation impedes medical treatment, chronic conditions can be exacerbated and potentially lead to increased use of emergency medical services. Medicaid’s non-emergency medical transportation (NEMT) benefit seeks to fill in transportation gaps and guarantee timely and medically appropriate transportation. NEMT benefits are available for individuals who lack reliable or affordable access to transportation, or who need accommodations for physical or mental disabilities.” Source: Center for Health Care Strategies, Inc.

Breaking the dependency cycle: How health inequalities of vulnerable families can be tackled in Western Europe

“[This] study reveals how health inequalities hold back all generations, from early childhood to old age. Offering a host of case studies, it recommends a life-cycle approach to vulnerable families – with governments and providers urged to break down organisational barriers and collectively face up to challenges.” Source: Deloitte

Food Insecurity and the Role of Hospitals

“This guide discusses the link between food insecurity and health issues, including chronic illness and child development, and the role of hospitals in identifying food-insecure individuals and households to help address this determinant of health. Hospitals and health systems can screen patients for food insecurity and partner with community organizations to offer programs and resources that increase access to healthy foods and raise awareness of the issue in the community.” Source: American Hospital Association

Citizenship and Health: What role can citizenship play in the social determinants of health?

“What role can citizenship play in the social determinants of health? Research shows that becoming a citizen has important economic and social benefits that could result in positive health outcomes for individuals and society. These positive health outcomes are at play through a few key social determinants of health. They work through income, employment, and working conditions because the majority of immigrants to Canada are economic class immigrants. But they also work through social inclusion and cohesion, because once here, community connections, language, accessible services, discrimination, racism and other factors all play into whether someone can maintain good health and thrive.” Source: Wellesley Institute

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Public Health

Spatial planning for health: an evidence resource for planning and designing healthier places

“The aim of the project was to develop a series of practical diagrams that illustrate the linkages, and strength of evidence, between spatial planning and health based on the findings from an umbrella literature review of the impacts of the built environment on health.” Source: Public Health England

Antimicrobial Resistance and and causes of non-prudent use of antibiotics in human medicine in the EU

”Reasons for imprudent use of antibiotics include lack of knowledge by the patient, lack of knowledge by pharmacists, pharmacists consenting to sell antibiotics without a prescription - particularly when there is patient pressure, and healthcare providers dispensing whole packages of antibiotics where there are pills left over once a patient has finished the prescribed course. It was also found that pharmacists in smaller pharmacies seem more likely to dispense antibiotics without a prescription.” Source: European Commission

WHO report on the global tobacco epidemic, 2017: Monitoring tobacco use and prevention policies

“WHO report on the global tobacco epidemic, 2017: Monitoring tobacco use and prevention policies is the sixth in a series of WHO reports that tracks the status of the tobacco epidemic and interventions to combat it.” Source: WHO

A National Strategy for the Elimination of Hepatitis B and C: Phase Two Report

“The world now has the tools to prevent hepatitis B and cure hepatitis C. Perfect vaccination could eradicate HBV, but it would take two generations at least. In the meantime, there is no cure for the millions of people already infected. Conversely, there is no vaccine for HCV, but new direct-acting antivirals can cure 95 percent of chronic infections, though these drugs are unlikely to reach all chronically-infected people anytime soon. This report, the second of two, builds off the conclusions of the first report and outlines a strategy for hepatitis reduction over time and specific actions to achieve them.” Source: National Academies Press

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The C word: how we react to cancer today

“The report explores people's experiences when receiving a cancer diagnosis and how best to support patients following diagnosis.” Source: Macmillan Cancer Support

Implementation of Lung Cancer Screening: Proceedings of a Workshop

“In recognition of the substantial challenges to developing effective lung cancer screening programs in clinical practice, the National Academies of Sciences, Engineering, and Medicine held a workshop in June 2016. At the workshop, experts described the current evidence base for lung cancer screening, the current challenges of implementation, and opportunities to overcome them. Workshop participants also explored capacity and access issues; best practices for screening programs; assessment of patient outcomes, quality, and value in lung cancer screening; and research needs that could improve implementation efforts. This publication summarizes the presentations and discussions from the workshop.” Source: National Academies Press

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Generation Genome

“[This] report identifies the opportunities that advances in genomic technology can deliver for clinical practice and public health: the genomic dream.” Source: Department of Health (UK)

Human Genome Editing: Science, Ethics, and Governance

“Human Genome Editing considers important questions about the human application of genome editing including: balancing potential benefits with unintended risks, governing the use of genome editing, incorporating societal values into clinical applications and policy decisions, and respecting the inevitable differences across nations and cultures that will shape how and whether to use these new technologies. This report proposes criteria for heritable germline editing, provides conclusions on the crucial need for public education and engagement, and presents 7 general principles for the governance of human genome editing.” Source: National Academies Press

Enabling Precision Medicine: The Role of Genetics in Clinical Drug Development: Proceedings of a Workshop

“Those involved in the drug development process face challenges of efficiency and overall sustainability due in part to high research costs, lengthy development timelines, and late-stage drug failures. Novel clinical trial designs that enroll participants based on their genetics represent a potentially disruptive change that could improve patient outcomes, reduce costs associated with drug development, and further realize the goals of precision medicine.” Source: National Academies Press

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Substance Use & Addiction

Bridging the gap: Young people and substance use

“The aim of this resource is to increase the knowledge and confidence of those working alongside young people in the primary care environment (including youth workers, school counsellors and others in youth focussed practice) to address issues related to alcohol and other substance use. This resource may also be useful as a training tool for clinicians in specialist alcohol and other drug (AOD) services who provide training to youth workers in the primary care environment. Source: Matua Raḵi